| NPI | 1275585929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN FANTIN Outpt Clinic/Reimbursement Manager 810-667-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-08-28 |